HomeMy WebLinkAbout207121 03/13/2012 1
CITY OF CARMEL, INDIANA VENDOR: 353622 Page 1 of 1
ONE CIVIC SQUARE J D H CONTRACTING INC CHECK AMOUNT: $22,984.43
CARMEL, INDIANA 46032 PO BOX 320
PLAINFIELD IN 46168
CHECK NUMBER: 207121
CHECK DATE: 3113/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 R4463201 26889 38539 22,984.43 FIBER INSTALLATION
8109 Network ter. INVOICE
Plainfield IN 46168 -9024
Phone:(317) 839 -0520 Invoice No: 38539
Fax: (317) 838 -0925 Invoice Date:2 18 /2012
Due Date: 2/8/2012
Bill To:
City of Carmel
31 1st Ave NW PO No:26889
Job No: 2011 -01471
Carmel IN 46032 Job Description: Police Building
RE: Ridge Point Dr
Quantity IDescription Unit Price Extended Price
City of Carmel
Contact: Terry Crocket (Director of Information Systems)
Scope of work:
2) Ridge Point Dr.
Directional drill approximately 1800' ft and pull back one SDR11..1.25" duct. Pull
144 sewer fiberin a new duct and existing duct back to splice case
approximately 2350' ft. Place fiber in fire duct inside of Police Dept, for
approximately 150' ft. Core drill wall place I.b. Place handhole for pull through
and future routes.
1.00 Lump Sum: $21,397.43 21,397.43 21,397.43
Ridge Point Dr.
Splicing, Terminations, Testing
Labor Material
1.00 Lump Sum:$1,587.00 1,587.00 1,587.00
Thank You For Your Business! Amount Due: 22,984.43
Terms: Net Due 35 Days
INDIANA RETAIL TAX EXEMPT PAGE
C ity ®f C arme l CERTIFICATE Np. 003120155 002 0 1 O 1
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26889
35- 60000972
3 QME CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
11/2/11
VENDOR JDR Contracting Inc SHIP City of Carmel HCDTF
8109 Network Dr. TO 3 Civic Square
Plainfield, IN 46168 Carmel, IN 46032
Attn: Todd Luckoski
CONFIRmATiON BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 ea. Directional drill 1800' ft and pull back one SDR11..1.25" duct.
Pull 144 sewer fiber in a new duct back to splice case approx.
2350'.
Place fiber in fire duct inside of police dept. for approx. 150'.
Core drill wall place_,l�
Place handhole?` iuharad future routes.
}'i' Lump Sum $21,397.43
1 ea. Splicing;. ipations Testing
Labor a �d 'eeiials e
A 1 Lump Sum
g14� P
ESTI17ATE t
v
Send Invoice To: Hamilton County DrugFne�
3 Civic Square
Carmel,° IN 46032
Attn" Marie Doan
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
911 2001 -2 2011 -911 PAYMENT 632 -01 $22,984.43
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Aaron Dietz
SHIPPING LABELS
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Lt
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. !8 A.P.V. COPY SIGN AND RETURN TO CLERK )O FFICE
VOUCHER NO. WARRANT NO.
ALLOWED 24
IN THE SUM OF
ON ACCOUNT OF APPROPRiATION FOR
Board Members
PO.# or INVOICE NO. ACCT #ITITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Title`
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
JDH Contracting Inc.
IN SUM OF
8109 Network Dr
Plainfield, IN 46168
$22,984.43
ON ACCOUNT OF APPROPRIATION FOR
Project 201,- 911 Task 201.,2
PO# Dept. INVOICE NO, ACCT# /TITLE AMOUNT Board Members
26889 38539 44- 632.01 $22,984.43 I hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, March 01, 2012
0 'CL
Major
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/08/12 38539 $22,984.43
i hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk Treasurer